<div id="address"> 
		

					 <table width="800" border="0" cellspacing="10">
					  <tr>
					    <td width="200px" align="right">Frist Name  :</td>
					    <td><input type="text" name="firstname" id="firstname"  value="{$user_info.firstname}"/>
					      <span class="STYLE3">*</span></td>
					  </tr>
					   <tr>
					    <td width="200px" align="right">Last Name  :</td>
					    <td><input type="text" name="lastname" id="lastname" value="{$user_info.lastname}"/>
					    <span class="STYLE3">*</span></td>
					  </tr>
					  
					  <tr>
					    <td width="200px" align="right">Address Line1  :</td>
					    <td ><input type="text" name="address1"  id="address1" size="50" value="{$user_info.address1}"/>
					    <span class="STYLE3">*</span></td>
					  </tr>
					   <tr>
					    <td width="200px" align="right">Address Line2</td>
					    <td><input type="text" name="address2" id="address2" value="{$user_info.address2}"/></td>
					  </tr>
					   <tr>
					    <td width="200px" align="right">ZIP Code  :</td>
					    <td><input type="text" name="zipcode" id="zipcode" value="{$user_info.zipcode}"/>
					    <span class="STYLE3">*</span></td>
					  </tr>
					   <tr>
					    <td width="200px" align="right">City  :</td>
					    <td><input type="text" name="city" id="city" value="{$user_info.city}"/>
					    <span class="STYLE3">*</span></td>
					  </tr>
					  <tr>
					    <td width="200px" align="right">Provincia  :</td>
					    <td><input type="text" name="state" id="state" value="{$user_info.state}"/>
					    <span class="STYLE3">*</span></td>
					  </tr>					  <tr>
                <td  align="right">Country:</td>
                <td>
                

             
				<SELECT id="country" name="client_countryship" length="15" > 
<option {$Land} value="">Choose a Country</option>
<option {$US} value="US">United States</option>
<option {$AL} value="AL">Albania</option>
<option {$DZ} value="DZ">Algeria</option>
<option {$AD} value="AD">Andorra</option>
<option {$AO} value="AO">Angola</option>
<option {$AI} value="AI">Anguilla</option>
<option {$AG} value="AG">Antigua and Barbuda</option>
<option {$AR} value="AR">Argentina</option>
<option {$AM} value="AM">Armenia</option>
<option {$AW} value="AW">Aruba</option>
<option {$AU} value="AU">Australia</option>
<option {$AT} value="AT">Austria</option>
<option {$AZ} value="AZ">Azerbaijan Republic</option>
<option {$BS} value="BS">Bahamas</option>
<option {$BH} value="BH">Bahrain</option>
<option {$BB} value="BB">Barbados</option>
<option {$BE} value="BE">Belgium</option>
<option {$BZ} value="BZ">Belize</option>
<option {$BJ} value="BJ">Benin</option>
<option {$BM} value="BM">Bermuda</option>
<option {$BT} value="BT">Bhutan</option>
<option {$BO} value="BO">Bolivia</option>
<option {$BA} value="BA">Bosnia and Herzegovina</option>
<option {$BW} value="BW">Botswana</option>
<option {$BR} value="BR">Brazil</option>
<option {$BN} value="BN">Brunei</option>
<option {$BG} value="BG">Bulgaria</option>
<option {$BF} value="BF">Burkina Faso</option>
<option {$BI} value="BI">Burundi</option>
<option {$KH} value="KH">Cambodia</option>
<option {$CA} value="CA">Canada</option>
<option {$CV} value="CV">Cape Verde</option>
<option {$KY} value="KY">Cayman Islands</option>
<option {$TD} value="TD">Chad</option>
<option {$CL} value="CL">Chile</option>
<option {$C2} value="C2">China</option>
<option {$CO} value="CO">Colombia</option>
<option {$KM} value="KM">Comoros</option>
<option {$CK} value="CK">Cook Islands</option>
<option {$CR} value="CR">Costa Rica</option>
<option {$HR} value="HR">Croatia</option>
<option {$CY} value="CY">Cyprus</option>
<option {$CZ} value="CZ">Czech Republic</option>
<option {$CD} value="CD">Democratic Republic of the Congo</option>
<option {$DK} value="DK">Denmark</option>
<option {$DJ} value="DJ">Djibouti</option>
<option {$DM} value="DM">Dominica</option>
<option {$DO} value="DO">Dominican Republic</option>
<option {$EC} value="EC">Ecuador</option>
<option {$SV} value="SV">El Salvador</option>
<option {$ER} value="ER">Eritrea</option>
<option {$EE} value="EE">Estonia</option>
<option {$ET} value="ET">Ethiopia</option>
<option {$FK} value="FK">Falkland Islands</option>
<option {$FO} value="FO">Faroe Islands</option>
<option {$FJ} value="FJ">Fiji</option>
<option {$FI} value="FI">Finland</option>
<option {$FR} value="FR">France</option>
<option {$GF} value="GF">French Guiana</option>
<option {$PF} value="PF">French Polynesia</option>
<option {$GA} value="GA">Gabon Republic</option>
<option {$GM} value="GM">Gambia</option>
<option {$DE} value="DE">Germany</option>
<option {$GI} value="GI">Gibraltar</option>
<option {$GR} value="GR">Greece</option>
<option {$GL} value="GL">Greenland</option>
<option {$GD} value="GD">Grenada</option>
<option {$GP} value="GP">Guadeloupe</option>
<option {$GT} value="GT">Guatemala</option>
<option {$GN} value="GN">Guinea</option>
<option {$GW} value="GW">Guinea Bissau</option>
<option {$GY} value="GY">Guyana</option>
<option {$HN} value="HN">Honduras</option>
<option {$HK} value="HK">Hong Kong</option>
<option {$HU} value="HU">Hungary</option>
<option {$IS} value="IS">Iceland</option>
<option {$IN} value="IN">India</option>
<option {$ID} value="ID">Indonesia</option>
<option {$IE} value="IE">Ireland</option>
<option {$IL} value="IL">Israel</option>
<option {$IT} value="IT">Italy</option>
<option {$JM} value="JM">Jamaica</option>
<option {$JP} value="JP">Japan</option>
<option {$JO} value="JO">Jordan</option>
<option {$KZ} value="KZ">Kazakhstan</option>
<option {$KE} value="KE">Kenya</option>
<option {$KI} value="KI">Kiribati</option>
<option {$KW} value="KW">Kuwait</option>
<option {$KG} value="KG">Kyrgyzstan</option>
<option {$LA} value="LA">Laos</option>
<option {$LV} value="LV">Latvia</option>
<option {$LS} value="LS">Lesotho</option>
<option {$LI} value="LI">Liechtenstein</option>
<option {$LT} value="LT">Lithuania</option>
<option {$LU} value="LU">Luxembourg</option>
<option {$MG} value="MG">Madagascar</option>
<option {$MW} value="MW">Malawi</option>
<option {$MY} value="MY">Malaysia</option>
<option {$MV} value="MV">Maldives</option>
<option {$ML} value="ML">Mali</option>
<option {$MT} value="MT">Malta</option>
<option {$MH} value="MH">Marshall Islands</option>
<option {$MQ} value="MQ">Martinique</option>
<option {$MR} value="MR">Mauritania</option>
<option {$MU} value="MU">Mauritius</option>
<option {$YT} value="YT">Mayotte</option>
<option {$MX} value="MX">Mexico</option>
<option {$FM} value="FM">Micronesia</option>
<option {$MN} value="MN">Mongolia</option>
<option {$MS} value="MS">Montserrat</option>
<option {$MA} value="MA">Morocco</option>
<option {$MZ} value="MZ">Mozambique</option>
<option {$NA} value="NA">Namibia</option>
<option {$NR} value="NR">Nauru</option>
<option {$NP} value="NP">Nepal</option>
<option {$NL} value="NL">Netherlands</option>
<option {$AN} value="AN">Netherlands Antilles</option>
<option {$NC} value="NC">New Caledonia</option>
<option {$NZ} value="NZ">New Zealand</option>
<option {$NI} value="NI">Nicaragua</option>
<option {$NE} value="NE">Niger</option>
<option {$NU} value="NU">Niue</option>
<option {$NF} value="NF">Norfolk Island</option>
<option {$NO} value="NO">Norway</option>
<option {$OM} value="OM">Oman</option>
<option {$PW} value="PW">Palau</option>
<option {$PA} value="PA">Panama</option>
<option {$PG} value="PG">Papua New Guinea</option>
<option {$PE} value="PE">Peru</option>
<option {$PH} value="PH">Philippines</option>
<option {$PN} value="PN">Pitcairn Islands</option>
<option {$PL} value="PL">Poland</option>
<option {$PT} value="PT">Portugal</option>
<option {$QA} value="QA">Qatar</option>
<option {$CG} value="CG">Republic of the Congo</option>
<option {$RE} value="RE">Reunion</option>
<option {$RO} value="RO">Romania</option>
<option {$RU} value="RU">Russia</option>
<option {$RW} value="RW">Rwanda</option>
<option {$KN} value="KN">Saint Kitts and Nevis Anguilla</option>
<option {$PM} value="PM">Saint Pierre and Miquelon</option>
<option {$VC} value="VC">Saint Vincent and Grenadines</option>
<option {$WS} value="WS">Samoa</option>
<option {$SM} value="SM">San Marino</option>
<option {$ST} value="ST">São Tomé and Príncipe</option>
<option {$SA} value="SA">Saudi Arabia</option>
<option {$SN} value="SN">Senegal</option>
<option {$SC} value="SC">Seychelles</option>
<option {$SL} value="SL">Sierra Leone</option>
<option {$SG} value="SG">Singapore</option>
<option {$SK} value="SK">Slovakia</option>
<option {$SI} value="SI">Slovenia</option>
<option {$SB} value="SB">Solomon Islands</option>
<option {$SO} value="SO">Somalia</option>
<option {$ZA} value="ZA">South Africa</option>
<option {$KR} value="KR">South Korea</option>
<option {$ES} value="ES">Spain</option>
<option {$LK} value="LK">Sri Lanka</option>
<option {$SH} value="SH">St. Helena</option>
<option {$LC} value="LC">St. Lucia</option>
<option {$SR} value="SR">Suriname</option>
<option {$SJ} value="SJ">Svalbard and Jan Mayen Islands</option>
<option {$SZ} value="SZ">Swaziland</option>
<option {$SE} value="SE">Sweden</option>
<option {$CH} value="CH">Switzerland</option>
<option {$TW} value="TW">Taiwan</option>
<option {$TJ} value="TJ">Tajikistan</option>
<option {$TZ} value="TZ">Tanzania</option>
<option {$TH} value="TH">Thailand</option>
<option {$TG} value="TG">Togo</option>
<option {$TO} value="TO">Tonga</option>
<option {$TT} value="TT">Trinidad and Tobago</option>
<option {$TN} value="TN">Tunisia</option>
<option {$TR} value="TR">Turkey</option>
<option {$TM} value="TM">Turkmenistan</option>
<option {$TC} value="TC">Turks and Caicos Islands</option>
<option {$TV} value="TV">Tuvalu</option>
<option {$UG} value="UG">Uganda</option>
<option {$UA} value="UA">Ukraine</option>
<option {$AE} value="AE">United Arab Emirates</option>
<option {$GB} value="GB">United Kingdom</option>
<option {$UY} value="UY">Uruguay</option>
<option {$VU} value="VU">Vanuatu</option>
<option {$VA} value="VA">Vatican City State</option>
<option {$VE} value="VE">Venezuela</option>
<option {$VN} value="VN">Vietnam</option>
<option {$VG} value="VG">Virgin Islands (British)</option>
<option {$WF} value="WF">Wallis and Futuna Islands</option>
<option {$YE} value="YE">Yemen</option>
<option {$ZM} value="ZM">Zambia</option></SELECT>   

				 </td>
            </tr>
					   <tr>
					    <td width="200px" align="right">Phone Number  : </td>
					    <td><INPUT size=5 type="text" name="night_phone_a" id="night_phone_a" value="{$user_info.night_phone_a}">
                             <INPUT size=6 type="text" name="night_phone_b" id="night_phone_b" value="{$user_info.night_phone_b}"> 
                             <INPUT size=6 type="text" name="night_phone_c" id="night_phone_c" value="{$user_info.night_phone_c}">
					    
					    
					    </td>
					  </tr>
					  <tr>
					    <td width="200px" align="right">E-mail addres  :</td>
					    <td><input type="text" name="email" id="email" value="{$user_info.email}"/><span class="STYLE3">*</span></td>
					  </tr>
					  
					  
					</table>
						<div class="ab" id="btn">
					 
					 
					 
					   <input type="hidden" name="order_id_submit" id="order_id_submit" value="{$order_id}" />
					  
					   <input type="image" name="buttom" src="../Public/images/Submit_us.jpg" onclick="submitAddress(this)" >
					
						</div>
						
					
						
						</div>